Dr Scott Tashiro Tisdale, OD in Woodbury, NY - Medicare Optometrist Provider

Dr Scott Tashiro Tisdale, OD is a medicare enrolled "Optometrist" provider in Woodbury, New York. His current practice location is 8565 Jericho Tpke, Woodbury, New York. You can reach out to his office (for appointments etc.) via phone at (516) 367-3400.

Dr Scott Tashiro Tisdale is licensed to practice in New York (license number TUV007268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255594453.

Contact Information

	Dr Scott Tashiro Tisdale, OD
	8565 Jericho Tpke, Woodbury, NY 11797-1804
	(516) 367-3400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Scott Tashiro Tisdale
Gender	Male
Speciality	Optometrist
Location	8565 Jericho Tpke, Woodbury, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255594453
Provider Enumeration Date: 07/08/2008
Last Update Date: 04/08/2016

Medicare PECOS Information:

PECOS PAC ID: 1951476183
Enrollment ID: I20080821000582

Medical Identifiers

Medical identifiers for Dr Scott Tashiro Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255594453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV007268 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Scott Tashiro Tisdale allows following entities to bill medicare on his behalf.

Provider Name	Vision Heights Optical Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811317233 PECOS PAC ID: 5193067114 Enrollment ID: O20190423001711

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Scott Tashiro Tisdale is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Scott Tashiro Tisdale, OD 155e 38th St 6l, New York, NY 10016-2675 Ph: (516) 457-0757	Dr Scott Tashiro Tisdale, OD 8565 Jericho Tpke, Woodbury, NY 11797-1804 Ph: (516) 367-3400

Reviews and Comments

Optometrist in Woodbury, NY

Optics Plus Opticians, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 8285 Jericho Tpke, Woodbury, NY 11797 Phone: 516-367-2020 Fax: 516-367-3379
Dr. Jeffrey Louis Lubin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Woodbury Rd, Woodbury, NY 11797 Phone: 516-692-5660 Fax: 516-692-5664
Visual Affair Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7933 Jericho Tpke, Woodbury, NY 11797 Phone: 516-921-3937
Optic Masters, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8025 Jericho Tpke, Woodbury, NY 11797 Phone: 516-364-7474 Fax: 516-364-7417
Jd My Optics Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8025 Jericho Tpke, Woodbury, NY 11797 Phone: 516-364-7474 Fax: 516-364-7417
Catherine Quan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8025 Jericho Tpke, Woodbury, NY 11797 Phone: 516-364-7474

Dr Scott Tashiro Tisdale, OD - Medicare Optometrist in Woodbury, NY